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CLINICAL CARE: EMERGENCY SURGERY
Organization should:
1. Support Ministry of Health, Mongolia in the
implementation of national policies, guidelines and plans
to link the essential emergency and surgical care projects
with disaster planning, HIV, trauma, maternal and child
health projects.
2. Make WHO training manual Surgical Care at the District
Hospital and other training materials adapted to needs of
Mongolia to facilitate their wider use.
3. Support the Ministry of Health in national initiatives to
promote emergency and essential surgical care.
4. Support professional associations involvement in
promoting essential surgical skills.
5. Plan and implement follow-up activities.
6. Support research on outcome and public health impact
of emergency and essential surgical care.
Partnerships
Participants found that the role of partnership is essential in
supporting national initiatives to promote essential
emergency and surgical care through training and education
of health personnel in the prevention of HIV transmission
and other infectious agents through:
1. Implementation of best practice guidelines and
education.
2. Training in the use of universal precautions.
3. Reduce unnecessary blood transfusions particularly in
essential emergency and surgical procedures – in
particular trauma and pregnancy related complications
through the following:
➜ reducing blood loss using surgical and
anaesthetic techniques;
➜ assessment and treatment of anaemia;
➜ use of intravenous fluids.
Evaluation and follow up
At the end of the training workshop an evaluation was done,
using the WHO training workshop evaluation tool
(translated in Mongolian). The participants scored their
opinions and gave comments on the training contents,
presentations, training tools (training manual Surgical Care at
the District Hospital, e-learning tools, best practice protocols),
duration and their confidence to teach basic skills following
this training workshop. The average mean score was 4.83 on
a scale of 1 to 5.
A decision was made that monitoring and evaluation to
assess the impact of the trainers workshop at each of the six
aimag will be organised by the ‘Multidisciplinary Working
Group’, six months following this training workshop, using
the WHO needs assessment tools.
Conclusions
In the closing session, the Ms Gandhi, the Minister of
Health, was pleased that the e-learning was introduced in
this training workshop and emphasised the need for training
in basic skills to manage trauma and pregnancy-related
complications, as the incidence of road traffic injury, post
operative complications, burns in children, falls from
horseback and frostbites was rising in Mongolia.
Considering the difficulties in resources, geographical
situation, long distances for referrals in between soum,
intersoums and aimag hospitals, the participants reiterated
that this project has enormous potential to fulfil the need of
training health providers in the management of emergency
procedures in trauma, pregnancy-related complications and
anaesthesia. ❑
Vol. 40 No. 4 | World Hospitals and Health Services | 29